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, Arjun Narain School of Pharmacy, University of Pittsburgh , Pittsburgh, PA, USA Search for other works by this author on: Oxford Academic Salome Weaver College of Pharmacy, Howard University , Washington, DC, USA Search for other works by this author on: Oxford Academic Nene Kalu College of Medicine, Howard University , Washington, DC, USA Address correspondence to Nene Kalu, College of Medicine, Howard University, 2041 Georgia Avenue NW, Washington, DC 20060, USA; email: n_e_kalu@howard.edu. Search for other works by this author on: Oxford Academic
Health & Social Work, hlae017, https://doi.org/10.1093/hsw/hlae017
Published:
04 June 2024
Article history
Editorial decision:
08 March 2023
Received:
29 February 2024
Accepted:
11 March 2024
Published:
04 June 2024
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Arjun Narain, Salome Weaver, Nene Kalu, Homelessness and Its Impact on the Management of Vaso-Occlusive Crises in Sickle Cell Disease, Health & Social Work, 2024;, hlae017, https://doi.org/10.1093/hsw/hlae017
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Homelessness and sickle cell disease (SCD) disproportionately affect minoritized communities (Funk et al., 2022; Lee et al., 2019). According to the U.S. Department of Human Services point-in-time report, there were about 8,944 individuals in the metropolitan Washington, DC, region who were homeless in May 2023 (Chapman et al., 2023). Additionally, a large percentage of patients living with SCD are African Americans (Centers for Disease Control and Prevention, 2023). African Americans have experienced racial inequality in matters related to criminal justice, economic mobility, housing, behavioral health, and stability of the family (Chapman et al., 2023). People with SCD have a more challenging patient journey and a worse prognosis than people with stable housing (Henwood et al., 2015). In general, adults with prolonged homelessness have a mortality rate of three to four times that of the general population (Henwood et al., 2015). In these communities, social workers serve as advocates, case managers, clinicians, and therapists. In these multiple roles, social workers provide medical and mental health services that address change-oriented needs; services include counseling, case management, and life skills and job training (Johnson & Cnaan, 1995). Homelessness is a growing problem amongst SCD patients that needs to be addressed by multiple stakeholders.
Topic:
- sickle cell anemia
- social work
- homelessness
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